National Provider Identifier Database

PARADISE BEHAVIORAL HEALTH RECOVERY SUPPORT SERVICES
Rehabilitation, Substance Use Disorder


Contact Information

PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES
634 KILANI AVE
WAHIAWA, HI96786-1946
Phone: 401-684-8808
Fax: 808-638-4575
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Addiction (Substance Use Disorder) 101YA0400X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES

NPI Number 1174231120
Legal business name
LBN
PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES
Authorized official TAMEKA WILCOX - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/09/2022
Last updated 07/12/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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